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Chapter 11-Death and DyingPowerPoint to accompany Law & Ethics For Medical Careers Fifth Edition Judson · Harrison Chapter 11-Death and Dying McGraw-Hill © 2010 by The McGraw-Hill Companies, Inc. All rights reserved
Death and Dying Learning Outcomes11-2 Learning Outcomes Discuss accepted criteria for determining death. Determine the health care professional’s role in caring for the dying. Explain differences between a living will, a health care proxy, and durable power of attorney. Discuss the various stages of grief. Begin to form a knowledge base for assisting dying patients and their family members through the grieving process, as well as forming a personal philosophy concerning death and dying. Identify the major features of organ donation in the United States. McGraw-Hill © 2010 by The McGraw-Hill Companies, Inc. All rights reserved
Determination of Death11-3 Most states follow definitions recommended in a proposed Uniform Determination of Death Act. Brain death occurs when the following functions irreversibly cease: Circulatory and respiratory functions. Entire brain, including brain stem. McGraw-Hill © 2010 by The McGraw-Hill Companies, Inc. All rights reserved
Other Important Definitions11-4 Coma A person is comatose when they are in a deep stupor and do not respond to external stimuli. Persistent Vegetative State (PVS) Irreversible cessation of higher functions of brain, but involuntary bodily functions present. No reasonable expectation of reversal. McGraw-Hill © 2010 by The McGraw-Hill Companies, Inc. All rights reserved
Autopsies 11-5 A postmortem examination to determine cause of death and/or to obtain physiological evidence. Required when foul play is suspected. Not routinely done in most hospitals; exception would be teaching hospitals associated with a medical school. McGraw-Hill © 2010 by The McGraw-Hill Companies, Inc. All rights reserved
Teaching Health Care Providers to Care for Dying Patients11-6 Teaching Health Care Providers to Care for Dying Patients More end-of-life care is being taught to physician and other health care professionals. Thanatology is the study of death and psychological methods of coping with death. McGraw-Hill © 2010 by The McGraw-Hill Companies, Inc. All rights reserved
The Right to Die Each state’s laws are different.11-7 The Right to Die Each state’s laws are different. Proposed Uniform Rights of Terminally Ill Act provided guidelines for states. Important to have Advanced Directives in place. Only Oregon allows physician assisted death. McGraw-Hill © 2010 by The McGraw-Hill Companies, Inc. All rights reserved
Euthanasia Active euthanasia Passive euthanasia Voluntary euthanasia11-8 Active euthanasia Conscious act that results in death. Passive euthanasia Allowing patient to die naturally, without medical interference. Voluntary euthanasia Requires patient or agent consent. Involuntary euthanasia Without patient or agent consent. McGraw-Hill © 2010 by The McGraw-Hill Companies, Inc. All rights reserved
Caring for Dying Patient11-9 Caring for Dying Patient Curative Care Treatments and procedures to help cure the patient’s disease. Palliative Care Treatments to help provide comfort and maintain highest quality of life; often called comfort care. McGraw-Hill © 2010 by The McGraw-Hill Companies, Inc. All rights reserved
Hospice Facilities and care for dying patients.11-10 Hospice Facilities and care for dying patients. Care may be in the patient’s home or a hospice facility. Care focuses on relieving pain, controlling symptoms and meeting emotional needs, and personal values of both the patient and the family members. McGraw-Hill © 2010 by The McGraw-Hill Companies, Inc. All rights reserved
Planning Ahead Patient Self-Determination Act of 199011-11 Patient Self-Determination Act of 1990 Requires that hospitals and other health care facilities provide written information to patients about: The right to make medical decisions. The right to executive Advanced Directives. McGraw-Hill © 2010 by The McGraw-Hill Companies, Inc. All rights reserved
Advanced Directives-Living Will11-12 Detailed instructions regarding a patient’s wishes for end-of-life treatment. May include any or all of the following: Circumstances under which treatment should be discontinued. When heroic measures should or should not be taken. Directions for organ donation, autopsy or alternative treatment. McGraw-Hill © 2010 by The McGraw-Hill Companies, Inc. All rights reserved
Advanced Directives— Power of Attorney11-13 Advanced Directives— Power of Attorney Durable Power of Attorney A document designating individual(s) to act on another’s behalf in all legal matters. Takes effect when the grantor loses ability to make decisions (unconsciousness or mental incompetence). Health Care Proxy Health care power of attorney for end-of-life situations. McGraw-Hill © 2010 by The McGraw-Hill Companies, Inc. All rights reserved
Other Advanced Directives11-14 Other Advanced Directives Do-Not-Resuscitate Order Order issued when a patient specifies that no CPR should be performed if his/her heart stops beating. Different procedure exists in each state. Organ Donor Directives Patient specifications regarding organ transplantation. McGraw-Hill © 2010 by The McGraw-Hill Companies, Inc. All rights reserved
National Organ Transplant Act11-15 National Organ Transplant Act Federal Law passed in 1984. Established Organ Procurement Organizations (OPO’s). Established the Organ Procurement and Transplantation Network (OPTN). The OPTN and OPO work together to provide organs throughout the United States. Organ shortages remain critical in the United States. McGraw-Hill © 2010 by The McGraw-Hill Companies, Inc. All rights reserved
Uniform Anatomical Gift Act11-16 Uniform Anatomical Gift Act States allow organ donation by law, there is no federal law to provide organ donor directives. Most states allow prospective donors to indicate on their driver’s license their intent to donate. There are many myths about organ donation; look for the Frequently Asked Questions in Chapter 11 for information. McGraw-Hill © 2010 by The McGraw-Hill Companies, Inc. All rights reserved
11-17 The Grieving Process Elizabeth Kubler-Ross defines five stages of grief: Denial and isolation Anger, rage, and resentment Bargaining and guilt Depression or sadness Acceptance McGraw-Hill © by The McGraw-Hill Companies, Inc. All rights reserved
Ethics Guide Discussion11-18 Ethics Guide Discussion You are one of three siblings. Your 89-year-old mother, who has been in poor health for years, is diagnosed with an irreversible brain cancer and slips into a PVS. Your two sisters are not in agreement about end-of-life care for your mother. They look to you to resolve the issue. What are you going to do? McGraw-Hill © 2010 by The McGraw-Hill Companies, Inc. All rights reserved
DEATH & DYING GRIEF & LOSS
1240 College View Drive, Riverton, WY Phone A non-profit organization 5 I MPORTANT H OSPICE F ACTS 1.Hospice is NOT only for the last.
Oklahoma’s Advance Directives Linda Edmondson, LCSW.
Copyright © Allyn & Bacon 2004 Development Through the Lifespan Chapter 19 Death, Dying, and Bereavement This multimedia product and its contents are protected.
Advance Medical Directives Protocols for Mental Health While every effort has been taken to verify the accuracy of the content of this presentation, ValueOptions.
© 2007 McGraw-Hill Higher Education. All rights reserved. Chapter Eighteen Accepting Dying and Death.
Controversy 7 Should People Have the Choice to End Their Lives?
Legal and Ethical Issues Affecting End-of-life Care Advance Directives.
(c) 2012 The McGraw-Hill Companies, Inc. Chapter 17 Death, Dying, and Grieving PowerPoints developed by Nicholas Greco IV, College of Lake County, Grayslake,
Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 38 End-of-Life Care.
Copyright © Allyn & Bacon 2007 Development Through the Lifespan Chapter 18 Death, Dying, and Bereavement This multimedia product and its contents are protected.
Unit 4 Chapter 22: Caring for People who are terminally ill
WITHDRAWAL OF THERAPY By J.A.AL-ATA CONSULTANT & ASSISTANT PROFESSOR OF PEDIATRIC CARDIOLOGY CHAIRMAN, BIO-ETHICS COMMITTEE KFSH-RC JED.
Dying And Death Chapter Why Is There Death? Life span is long enough to allow reproduction and the linage of our species. Challenges our emotions.
Presented by Julie Stanton, BCH. A two part legal document ◦ Healthcare Decisions- a person’s wishes for end of life medical treatment. ◦ Durable Power.
Advance Directive & End of Life Care City-Wide Orientation Reviewed 10/2014.
PALLIATIVE CARE: ANY STAGE, ANY AGE WHAT PROVIDERS NEED TO KNOW May 2013.
Death and Dying Chapter 5.3. From “Seasons in the Sun” by Terry Jacks Thinking About Death Goodbye Papa, it’s hard to die When all the birds are singing.
Chapter © 2012 McGraw-Hill Companies. All Rights Reserved Why Is There Death? There is no completely satisfying answer to the question of why.
© 2011 McGraw-Hill Higher Education. All rights reserved. Chapter 21 Accepting Dying and Death.
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